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Palliation by Endoscopic Approach

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Hilar Cholangiocarcinoma

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Abstract

Endoscopic retrograde cholangiopancreatography (ERCP) with stenting has been used in the palliation of malignant obstructive jaundice for nearly three decades [1-3]. The initial success of endoscopic internal biliary drainage [1, 2], coupled with its low invasiveness [4] as a form of palliation, led to the suggestion that it represented the treatment of choice for unresectable cholangiocarcinomas [2] over the percutaneous or surgical alternatives. Endoscopic stenting of malignant hilar strictures, however, remains a technically challenging prospect. This, along with advances in interventional radiology over the years amongst other reasons, has precluded the development of clear delineation of the ideal technique for palliating hilar cholangiocarcinomas. In most instances, the extent of the obstruction, the anatomical arrangement of the intrahepatic ducts and the available local expertise shall determine the approach.

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Acknowledgements

The authors wish to acknowledge the help of Dr. Christopher Worthley who provided the ERCP images.

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Authors and Affiliations

  1. Department of Surgery, Flinders University, Adelaide, SA, Australia

    J. Toouli MBBS, PhD, FRACS & S. G. Barreto MBBS, MS, PhD

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  1. J. Toouli MBBS, PhD, FRACS
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  2. S. G. Barreto MBBS, MS, PhD
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Correspondence to J. Toouli MBBS, PhD, FRACS .

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Editors and Affiliations

  1. , Faculty of Medicine, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong, N/A, Hong Kong SAR

    W.Y. Lau

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© 2013 Springer Science+Business Media Dordrecht and People's Medical Publishing House

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Toouli, J., Barreto, S.G. (2013). Palliation by Endoscopic Approach. In: Lau, W. (eds) Hilar Cholangiocarcinoma. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6473-6_28

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  • DOI: https://doi.org/10.1007/978-94-007-6473-6_28

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  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-007-6472-9

  • Online ISBN: 978-94-007-6473-6

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